Gupta S, Andersen C, Black J, de Leon J, Fife C, Lantis Ii JC, Niezgoda J, Snyder R, Sumpio B, Tettelbach W, Treadwell T, Weir D, Silverman RP, et al.
Wounds : a compendium of clinical research and practice. Date of publication 2017 Sep 1;volume 29(9):S19-S36.
1. Wounds. 2017 Sep;29(9):S19-S36.
Management of Chronic Wounds: Diagnosis, Preparation, Treatment, and Follow-up.
Gupta S(1), Andersen C(2), Black J(3), de Leon J(4), Fife C(5), Lantis Ii JC(6),
Niezgoda J(7), Snyder R(8), Sumpio B(9), Tettelbach W(10), Treadwell T(11), Weir
D(12), Silverman RP(13).
Author information:
(1)Loma Linda University, Loma Linda, CA.
(2)Madigan Army Medical Center, Tacoma, WA.
(3)University of Nebraska Medical Center, College of Nursing, Omaha, NE.
(4)UT Southwestern Medi- cal Center, Dallas, TX.
(5)Saint Luke's Wound Care Clinic, The Woodlands, TX.
(6)Mount Sinai-West Hospital and St. Luke's Hospital, New York, NY.
(7)AZH Wound & Vascular Centers, Milwaukee, WI.
(8)Barry University School of Podiatric Medicine, Miami, FL.
(9)Yale University School of Medicine, New Haven, CT.
(10)Intermountain Healthcare, Salt Lake City, UT.
(11)Baptist Medical Center, Montgomery, AL.
(12)Catholic Health Advanced Wound Healing Centers, Buffalo, NY.
(13)3University of Maryland School of Medicine, Baltimore, MD.
Management of chronic wounds remains challenging in terms of prevalence and
complexity. Considerable progress has been made in understanding the science of
wound healing during the past decade, sparking volumes of publications and the
development of hundreds of dressing and therapy options. There is a need for a
simpli ed overview of evidence-based criteria to assist in the accurate diagnosis
and appropriate management of chronic wounds in all care settings. An expert
panel of 11 wound healing specialists experienced in various care settings
convened to discuss best practices and recommended guidelines for managing major
chronic wound types. Prior to the meeting, panel members reviewed 8 preselected
peer-reviewed articles and 1 white paper containing treatment algorithms for all
major chronic wound types. During the meeting, each panelist presented current
evidence-based guidelines regarding a specific chronic wound type and case
studies to illustrate concepts in the guidelines. This publication is a result of
the panel discussion and presents an overview of literature- and experience-
based criteria to help guide chronic wound diagnosis, assessment, treatment, and
follow-up. A cycle of steps is presented as a framework to guide holistic care
for all patients with chronic wounds, including de- hisced surgical wounds,
diabetic foot ulcers, venous leg ulcers, arterial insu ciency ulcers, and
pressure ulcers/injuries. Emphasis is placed on criteria to assist accurate
diagnosis and dressing/therapy selection, holistic elements of patient and wound
bed preparation, interventions to achieve patient adherence to a care plan, and
follow-up to help prevent wound recurrence.
PMID: 28862980
